Individual
JAVIER ALEJANDRO LOPEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45180 CLUB DR, INDIAN WELLS, CA 92210-8806
(760) 354-8285
Mailing address
1151 DOVE ST, NEWPORT BEACH, CA 92660-2840
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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